|
|
| (15 intermediate revisions by 3 users not shown) |
| Line 1: |
Line 1: |
| − | Adverse drug events (ADEs) not only threaten patient safety but are also costly due to prolonged patient stays, increased monitoring and complexity of care, and litigation. The 1999 Institute of Medicine report estimated that between 44,000 and 98,000 patients die annually due to medical errors, with medication error being a major source. An IOM update report in 2006 estimated between 380,000 and 450,000 hospital drug errors each year and nearly 800,000 people suffered in long-term care facilities due to drug mistakes [1].
| + | #REDIRECT [[Barcode medication administration]] |
| − | | + | |
| − | FDA has mandated barcode labels on all human medications and biological products by 2006 in an attempt to reduce medication errors. FDA has predicted that the ruling will prevent nearly 500,000 adverse drug events and transfusion errors over the 20 years that follow, at a cost savings of $93 billion [2].
| + | |
| − | | + | |
| − | Leveraging this barcode technology, barcode medication administration (BCMA) system has been developed to help ensure the “five rights” of medication administration: right patient with the right drug and right dose at the right time with the right route. BCMA is generally believed to be effective in preventing medication administration errors [3].
| + | |
| − | | + | |
| − | While the specific features and user interfaces of various BCMA systems differ, the basic functionalities are all largely the same. When administrating drugs to patient, clinicians scan barcodes on patients (often in the form of patient wristbands), drugs (often on unit-dose medication packages), and themselves. The software then verify the five rights, and if any of it is violated, warnings and/or errors will be issued. The software also automatically documents the actual administration of the medication as part of patient’s record. Often, systems also allows data to be stored so reports can be generated to review omitted or late medications, investigate errors during the administration process, and resolve reported discrepancies.
| + | |
| − | | + | |
| − | | + | |
| − | 1. Woolston C. Ills and Conditions: Hospital medication errors. Caremark. http://healthresources.caremark.com/topic/hospitalmederrors
| + | |
| − | | + | |
| − | 2. Wideman MV, Whittler ME, Anderson TM. Barcode Medication Adminsitration: Lessons learned from an intensive care unit implementation. Advances in Patient Safety: Vol 3. http://www.ahrq.gov/downloads/pub/advances/vol3/Wideman.pdf
| + | |
| − | | + | |
| − | 3. Julie Sakowski; Thomas Leonard; Susan Colburn; Beverly Michaelsen; Timothy Schiro; James Schneider; Jeffrey M. Newman. Using a Bar-Coded Medication Administration System to Prevent Medication Errors. Am J Health Syst Pharm. 2005 Dec 15;62(24):2619-25
| + | |
